In recent decades, open, online learning environments have become progressively more popular and well-funded. An integral aspect of this open learning movement is the transition of a substantial amount of control of the learning process from designers and instructors to the users engaging with the environment. With heavy investments coming from both the public and private sectors, and an ever-growing market of online learners, it is crucial that we better understand how the provision of user control over the learning process affects the quality of that learning process. The purpose of this study was to investigate the effects of one aspect of open learning environments that has yet to be fully understood: user choice of learning sequence, or non-sequential user choice. Building on previous research with open educational resources (OERs) designed to help drivers learn about adaptive cruise control (ACC), an advanced car safety system, this research compared the learning process of subjects with (N = 42) and without (N = 42) control of the learning sequence. Specifically, this study sought to investigate two core issues: 1) the effect(s), positive or negative, that non-sequential user choice has on the development of mental models of ACC, as measured by a post-test assessment; and 2) the relationship among post-test performance, chosen order of resources, and time spent engaging with individual learning resources. To examine these issues, two primary analyses were completed. To address the effect of non-sequential user choice, subjects’ performance on scenario problems and a declarative knowledge post-test was compared using independent sample t-tests (α = .05). A multiple regression analysis was conducted to investigate the relationship among post-test performance, chosen order of resources, and time spent on each of three learning resources (α = .05). Subjects in the experimental (choice) condition scored significantly worse on the post-test assessment than subjects in the control (non-choice) condition (t[82] = -2.116, p < .05, d = -0.462). The regression analysis found a significant regression equation (F(4,37) = 3.930, p < .05) with an R2 of 0.298 (Adjusted R2 = 0.222). Surprisingly, however, only one of the resource time predictor variables was an individually significant predictor of post-test performance. Possible explanations for these findings are explored based on the available research literature. These explanations include the possibility of choice overload, poor decision-making by subjects, confusion due to a lack of instructional guidance, and the development of choice apathy. However, further research is necessary to determine why non-sequential user choice had a negative effect, as well as to expand research on non-sequential user choice to other contexts and content areas.

This thesis investigates the impacts of user choice in Swedish elderly care on quality and cost as well as the impact of marketisation on the Covid-19 death toll. In the last three decades welfare service provision in Sweden has been increasingly marketised. Since 2009, Swedish municipalities have been able to introduce user choice in elderly care and it has been widely adopted in home care. To investigate the impact of introducing user choice, new insights from econometrics literature is used to estimate a staggered Difference-in-Difference model, using panel data for the years 2003-2019 and the 290 Swedish municipalities. The impact of marketisation on the Covid-19 death toll is estimated through Ordinary Least Squares using a cross-sectional data set. There are three main findings of this thesis. (i) The impact on quality and cost of the introduction of user choice has had heterogeneous effects across adoption groups, calendar time, and exposure length of treatment, and hence, the standard Difference- in-Difference approach is likely to provide biased estimates in this setting. (ii) The introduction of user choice has no clear effect on non-contractible quality measured by mortality rate and fall accidents, nor on cost. However, user choice has increased subjective quality, as measured by user satisfaction. (iii) A higher degree of marketisation in home care is associated with a higher Covid-19 death toll amongst those which had home care.

During the last decades, Swedish policy makers have implemented various marketization reforms into the public welfare sector in order to make it more cost-efficient and to improve its quality. The aim of this dissertation is to investigate what implications this marketization trend has had for the organization of Swedish eldercare. In particular, the research question addressed is how marketization reforms such as privatized provision, increased competition, and user choice have transformed the relationship between the service users, the professionals, and the state. To answer the research question, four articles are presented in the dissertation, each corresponding to a separate empirical investigation. Together, the articles demonstrate that the increased reliance on marketization in Swedish eldercare has made it more difficult for the local authorities to directly control the quality of the services, since it reduces their ability to allocate public resources and expects them to govern the provision of eldercare through the entering of contracts. This development has also implied that service users themselves become increasingly responsible for ensuring that the quality of their care is high. Moreover, the articles show that the increased reliance on audit by the national government and its agencies has tended to undermine the professionalization of eldercare staff, thereby limiting their autonomy and ability to ensure service quality. As a whole, the dissertation contributes with a more comprehensive understanding of how marketization has altered the organization of Swedish eldercare and under what conditions it might undermine the goals of social equality and ensuring that all citizens have equal access to good quality care.

Care transition, the process of moving from community care to residential care, is one of the biggest changes that older people can experience in their later life. Evidence from the literature suggests that older people's experiences of care transition tend to be negative and traumatic, with most of them being little involved in the process of care transition. How older people exercise choice during the period of care transition is important for understanding their experiences of care transition for the following two reasons: first, choice has been referred to in the literature as the key to less stressful care transition experiences, which can subsequently lead to a better quality of life in residential homes; second, the introduction of choice in public services has been the key plank of British social policy in recent decades and there has been a movement towards extending choice in residential care. This research aims to study older people's care transition experiences and their exercise of choice during the process of care transition, to explore the meaning and the perceived effects of choice and to identify the role of choice in promoting a positive care transition. This thesis presents findings from 48 in-depth interviews with older people who became new residents in one of the ten participating residential homes in London and had their care paid for by the local authority. This research identified four groups of older people who showed marked differences in terms of their needs, their exercise of choice during the care transition process and their adaptation to residential care: Active Planners, Conformists, the Unsettled and Shelter-Seekers. The findings from this research suggest that the older people's care transition experiences varied and that they stretch beyond the prevailing evidence emphasising the stressfulness of the care transition. The cases of Active Planners and Shelter-Seekers show the potential for positive roles for care homes in the case of users with genuine needs for residential care. An overwhelming majority of the older people who were interviewed were great proponents of choice and many of them actively exercised choice in the course of their care transition. This challenges the claim of the passivity of older people which has been argued in the literature. However, the cases of some Conformists who did not want to exercise choice also highlight that having no choice can be a choice for some older people. On the whole, older people’s exercise of choice played an important role in facilitating a positive transition, despite it not being a precondition for such a transition. However, there were administrative issues limiting the level and the extent of choice that were available to the older people and the Unsettled experienced an undesired move into a care home, having their choices denied or rejected. This thesis also questions the working of choice and competition in residential care, as the older people did not seem to enjoy the expected benefits of choice relating to service improvements which have been argued for in the literature.

Originating from a disenfranchisement with the contemporary definition and realisation of Westernised architecture as a commodity and product, this thesis seeks to explore alternative examples of positive socio-spatial practice and agency. These alternative spatial practices and methodologies are drawn from participatory and grass-roots development agency in informal settlements and contexts of economic absence, most notably in the global South. This thesis explores whether such examples can be interpreted as practical realisations of key theoretical advocacies for positive social space that have emerged in the context of post-Second World-War capitalism. The principal methodological framework utilises two differing trajectories of spatial discourse. Firstly, Henri Lefebvre and Doreen Massey as formative protagonists of Western spatial critique, and secondly, John F. C. Turner and Nabeel Hamdi as key advocates of participatory development practice in informal settlements. These two research trajectories are notably separated by geographical, economic and political differentiations, as well as conventional disciplinary boundaries. However by undertaking a close textual reading of these discourses this thesis critically re-contextualises the socio-spatial methodologies of participatory development practice, observing multiple theoretical convergences and provocative commonalities. This research proposes that by critically comparing these previously unconnected disciplinary trajectories certain similarities, resonances and equivalences become apparent. These resonances reveal comparable critiques of choice, value, and identity which transcend the gap between such differing theoretical and practical engagements with space. Subsequently, these thematic resonances allow this research to critically engage with further appropriate surrounding discourses, including Marxist theory, orientalism, post- structural pluralism, development anthropology, post-colonial theory and subaltern theory. 5 In summary, this thesis explores aspects of Henri Lefebvre's and Doreen Massey's urban and spatial theory through a close textual reading of key texts from their respective discourses. This methodology provides a layered analysis of post-Marxist urban space, and an exploration of an explicit connection between Lefebvre and Massey in terms of the social production and multiplicity of space. Subsequently, this examination provides a theoretical framework from which to reinterpret and revalue the approaches to participatory development practice found in the writings and projects of John Turner and Nabeel Hamdi. The resulting comparative framework generates interconnected thematic trajectories of enquiry that facilitate the re-reading and critical reflection of Turner and Hamdi's development practices. Thus, selected Western spatial discourse acts as a critical lens through which to re-value the social, political and economical achievements of participatory development. Reciprocally, development practice methodologies are recognised as invaluable and provocative realisations of the socio-spatial qualities that Western spatial discourse has long advocated for, and yet have remained predominantly unrealised in the global North.